NPIMap

Organization Active NPI

Pamlico Counseling PLLC

  • Community/Behavioral Health Agency
  • Washington, NC
National Provider Identifier
1609885664
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PAMLICO COUNSELING PLLC
Practice address
408 E 11TH St
Washington, NC 27889-3719
Phone
(252) 975-2027
Fax
(252) 975-3483
NPI assigned
Aug 7, 2006
Last updated
Sep 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Catherine Demartin Manning, LCMHCNPI 1134112758
Title
Owner
Phone
(252) 975-2027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

408 E 11TH St
Washington, NC 27889-3719

Mailing address

408 E 11TH St
Washington, NC 27889-3719
Phone (252) 975-2027

Other identifiers 3

IdentifierTypeStateIssuer
015RFOtherNC BCBS
305567OtherMHN
6005246MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050202000923 NC Part B Supplier - Clinic/Group Practice 7214988609 Receives reassigned benefits from 4 practitioners
Practice locations: Washington, NC

National Provider Directory

National Provider Directory

Locations

227 N Market St
Washington, NC 27889
Phone (252) 975-2027

408 E 11th St
Washington, NC 27889
Phone (252) 975-2027

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1609885664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E 11TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893719",
            "telephone_number": "252-975-2027",
            "fax_number": "252-975-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E 11TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893719",
            "telephone_number": "252-975-2027",
            "fax_number": "252-975-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMLICO COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "DEMARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-975-2027",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BCBS",
            "identifier": "015RF",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "305567",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005246",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.